AHA Coding Clinic® for HCPCS - 2008 Issue 4

Update on hospital clinic and emergency department visit coding

This article was developed to provide a summary of the highlights related to the coding of hospital clinic and emergency department visits, as published in the CY 2009 Outpatient Prospective Payment System (OPPS) final rule that went on display October 30, 2008. Clinic visit coding Hospitals are to continue using CPT evaluation and management (E/M) outpatient visit codes, including the differentiation between new and established patients. CMS finalized their proposal to change the definitions of new and established patients. Beginning in CY 2009, the meanings of “new “ and “established” patients pertain to whether or not the...

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